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Mini Case Study
#3: Harold’s Heartache
Instructions:
Please read the
following scenario and submit a report with a response to each of the associated questions (4
points each). You are not to collaborate with anyone when completing this
assignment. Refer to the grading rubric for evaluation criteria. Consult course
readings and lectures, as well as outside materials as needed, and cite sources
in APA style.
Harold is 46
and recently divorced. Since he and his wife separated, he noticed that he has
been eating a lot of premade processed foods and putting on some extra pounds,
and his weight has climbed from 185 to 205 lbs (height is 5’11”) within the
past 9 months. He’s been stressed with the divorce settlement and has started
smoking again. Both of Harold’s parents had heart disease and he’s been on
hypertension medications for 5 years. When he went to see his doctor, his blood
pressure was143/85 mmHg and a lipid panel revealed that his total cholesterol
is 260 mg/dL with an LDL level of 167 mg/dL and an HDL level of 35 mg/dL. He
shared with his doctor that he used to exercise regularly, but had been
physically inactive for over 6 months. When asked if he would like to start
exercising again, Harold responded, “I definitely know I should, and I remember
it used to make me feel so good! I was thinking of buying a new bike!”
1. 1 – What
factors put Harold at risk for heart disease? Discuss which are modifiable and
which are not.
2.2- What
is Harold’s risk of developing heart disease? Please show your work for any calculations.
3. 3- Discuss
Harold’s cholesterol levels and ratio and compare them to recommendations.
4. 4 What
dietary changes would you recommend for Harold? Would you recommend any
specific diet plans? Why or why not?
5.5
How
would you assess Harold’s readiness to change, and what might be some
meaningful goals for him to work towards?
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